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11621 SILVER LAKE RD 2016-01-01 MF Import
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11621 SILVER LAKE RD 2016-01-01 MF Import
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Last modified
3/9/2017 8:19:37 PM
Creation date
3/9/2017 8:19:15 PM
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Template:
Address Document
Street Name
SILVER LAKE RD
Street Number
11621
Imported From Microfiche
Yes
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cirr oF �Err oare: _//.�;,�qo . . <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: <br /> JOB ADDRESS l�lo .'�2 ?t/ .5' /T �b� l r S�Q r 1!� !� <br /> TENANT e / r <br /> B,// ForrA (,uo�lr� �✓M, b I;µitA ,1 <br /> FROPERTY OWNfft S./..,�.- Sleora. �14 I 1 �� /�ew. f Q r.(� <br /> ELECIRICAL CONTRACTOR 1/�: ,"� «O F...Y:. (� f c. <br /> LICENSE N0. U/A/iT r=r-_ G�. Ir1t M C EXPIRATION DATE �� �9� p _ <br /> ADMINISTRATOR PFIONE N0. ��� . 7�/I <br /> ��� � W� (do not include taxes) <br /> (for commerci wor <br /> USE OF BUILDING _ .. <br /> �;; .. ._.. -.�:.- �ro r(ar l►�l„ 1„l._ <br /> . � <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutional or health care tacilities be approved by the State oP <br /> ._.__. Washington. ... Applicants with s�ch fobs must show the State-approved plans <br /> -�� � � � �before a City oP Ever�tt permit will be issued: �- <br /> • WORK 10 BE DONE: <br /> � �6ek �., �rar�� r <br /> sic�ro . . l��_�_��,�.✓ oA1E !�o .9r' <br /> NOTES AND COMMENTS: <br /> 6/10/87 <br /> J.928H • <br />
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